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Individual
DR. EMIL WILLIAM TETZNER
Active
Individual
DR. EMIL WILLIAM TETZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
G10001022
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000033719
—
DE
01
—
617755
UNITED CONCORDIA INS
—
Enumeration date
07/28/2006
Last updated
07/08/2007
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